MODESTO S RIVERA III MD PA
NPI 1922325026
Clinic/Center in Prnc Frederck, MD

Q: What is Modesto S Rivera III MD PA's NPI number?

The NPI number for Modesto S Rivera III MD PA is 1922325026. It was assigned to this organization in the NPPES registry on April 28, 2010.

Q: What is Modesto S Rivera III MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since April 28, 2010

806 SOLOMONS ISLAND RD N, PRNC FREDERCK, MD 20678(410) 535-3424(410) 535-4983 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Modesto S Rivera Iii Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODESTO S RIVERA III MD PA (NPI 1922325026) is a healthcare organization registered as a clinic/center in Prnc Frederck, Maryland and active in the NPI registry since April 2010. The organization lists Modesto Santos Rivera, President, as its authorized official.

NPPES Registry Identity

NPI1922325026

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMODESTO S RIVERA III MD PA

Location Address806 SOLOMONS ISLAND RD NPrnc Frederck, MD 20678-3919

Mailing Address806 Solomons Island Rd NPrnc Frederck, MD 20678-3919 · (410) 535-3424 · Fax (410) 535-4983

Phone(410) 535-3424

Fax(410) 535-4983

Organization SubpartNo

Authorized OfficialModesto Santos RiveraPresident · (410) 535-4242

Enumeration DateApril 28, 2010

✔ NPI 1922325026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MD · D19963

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

806 SOLOMONS ISLAND RD N, Prnc Frederck, MD 20678

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Other Identifiers 5

Other2122218Mamsi

Other34888001MD · Blue Shield Carefirst

Medicare PINC62635

Other0283Ghmsi

Medicaid1887319 00MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modesto S Rivera III MD PA's NPI number?

The NPI number for Modesto S Rivera III MD PA is 1922325026. It was assigned to this organization in the NPPES registry on April 28, 2010.

Where is Modesto S Rivera III MD PA located?

Modesto S Rivera III MD PA is located at 806 Solomons Island Rd N, Prnc Frederck, MD 20678. The listed phone number is (410) 535-3424.

What is Modesto S Rivera III MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Modesto S Rivera III MD PA was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.